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Agent Morgan: It could be overkill.
Hotch: But overkill usually means a personal relationship. If the victims didn't know each other, it's unlikely the UnSub knew them.
JJ: So what would account for this level of bloodletting?
Reid: The primal rage could be about the blood itself. If he's enjoying the killing then he's getting aroused by it and developing a kind of blood lust.
Morgan: Then why hasn't he done it again?
Hotch: Maybe he hasn't had the chance.